| NPI | 1295300275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-143838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-1443838) |
| Enumeration Date | 2021-05-23 |
| Last Update Date | 2021-05-23 |